Individual
SHIBU JOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
11265 CAMPANILE ST, LAS VEGAS, NV 89141-6048
(702) 493-2614
Mailing address
11265 CAMPANILE ST, LAS VEGAS, NV 89141-6048
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14862
NV
Other
Enumeration date
07/19/2017
Last updated
07/19/2017
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